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KMID : 0882420210960050438
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Korean Journal of Medicine
2021 Volume.96 No. 5 p.438 ~ p.442
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A Rare Case of Fibromuscular Dysplasia with Postpartum Renal Artery Rupture in a Non-Hypertensive Woman
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Kim Eun-Eun
Won Yoo-Dong
Kim Yeun-Hee
Shin In-Hye
Kim Young-Ok
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Abstract
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Fibromuscular dysplasia (FMD) of the renal artery is a non-atherosclerotic, non-inflammatory vascular disease that causes stenosis, aneurysm, dissection, and occlusion of the vessel. We report a rare case of a postp김은은rtum FMD patient who presented with spontaneous acute perirenal hematoma due to renal artery aneurysm rupture after cesarean section. The 40-year-old patient presented with sudden onset of abdominal pain 2 days after an elective cesarean section performed at full gestational term. A computed tomography scan of the abdomen revealed perirenal hematomas with signs of FMD in both renal arteries. The bleeding was successfully controlled by transcatheter arterial embolization. Short-term continuous renal replacement therapy was performed until her renal function recovered. FMD of the renal artery is rare in pregnant patients. Additionally, aneurysm rupture can be life threatening and requires immediate medical attention and prompt management.
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KEYWORD
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Fibromuscular dysplasia, Postpartum hemorrhage, Renal artery
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